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NPI Code Detail

MEDICARE: DAWN S. BROOKE MD

MEDICARE:   DAWN S. BROOKE  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianH6073TX

Other Identifiers

General Provider Information

NPI Number : 1376559641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN S. BROOKE MD
Provider Business Mailing Address
First Line : PO BOX 26726
Second Line :
City : AUSTIN
State : TX
Zip : 78755-0726
Country : US
Telephone Number : 512-407-8686
Fax Number : 512-421-4489
Provider Business Practice Location Address
First Line : 10401 ANDERSON MILL #110B
Second Line :
City : AUSTIN
State : TX
Zip : 78750-2579
Country : US
Telephone Number : 512-250-5571
Fax Number : 512-335-3068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 05/09/2011

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Directions to “ DAWN S. BROOKE MD” Practice Location

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